Individual
BLAIRE M FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
975 SMOOTS DR, CLARKSVILLE, TN 37042-1689
(205) 522-2118
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-117275
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
3016933
KY
367500000X
Certified Registered Nurse Anesthetist
CRNA0839
AZ
Other
Enumeration date
01/24/2012
Last updated
06/07/2022
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